Prosthetic & Orthotic Associates, Inc.

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

Legal business name

PROSTHETIC & ORTHOTIC ASSOCIATES, INC.

Practice address

4 Riverside Drive
Middletown, NY 10941

Phone

(845) 956-0001

Fax

(845) 344-6829

NPI assigned

Dec 1, 2005

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Thomas Passero, CP

Title

President/Director of Operations

Phone

(845) 956-0001

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Other NPIs with the same Medicare PAC ID 3

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Prosthetic & Orthotic Associates, Inc.

  • Prosthetic/Orthotic Supplier
  • Poughkeepsie, NY
  • NPI 1265625644

  4688791825

  Same PAC ID
• Prosthetic & Orthotic Associates, Inc.

  • Prosthetic/Orthotic Supplier
  • Kingston, NY
  • NPI 1710170188

  4688791825

  Same PAC ID
• Prosthetic & Orthotic Associates, Inc

  • Prosthetic/Orthotic Supplier
  • Milford, PA
  • NPI 1073315461

  4688791825

  Same PAC ID

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1133395200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686182400000",
    "number": "1205810561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 RIVERSIDE DRIVE",
            "city": "MIDDLETOWN",
            "state": "NY",
            "postal_code": "10941",
            "telephone_number": "845-956-0001",
            "fax_number": "845-344-6829"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 RIVERSIDE DRIVE",
            "city": "MIDDLETOWN",
            "state": "NY",
            "postal_code": "10941",
            "telephone_number": "845-956-0001",
            "fax_number": "845-344-6829"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROSTHETIC & ORTHOTIC ASSOCIATES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-01",
        "last_updated": "2023-06-08",
        "certification_date": "2023-06-08",
        "status": "A",
        "authorized_official_last_name": "PASSERO",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "PRESIDENT/DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "845-956-0001",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CP"
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01139606",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Professional Obs-GYN of Orange Co LLP
• Marie D Prokopchak, PT
• Promenade at Middletown LLC
• Promenade Middletown LLC
• Promenade Senior Centers LLC
• Prosthetic and Orthotic Designs, LLC
• Allison Protsko, PHARM D
• Cheryl Provencher, LPN
• Tatyana Pryce
• Maria Pryluck, FNP

• Prosthetic/Orthotic Supplier in Middletown, NY
• Providers in Middletown, NY by specialty
• Prosthetic/Orthotic Supplier in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.